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Isolated tuberculous liver abscess in a patient with asymptomatic stage I sarcoidosis
Supriya Sarkar1, Kaushik Saha, Chandra Shekhar Das
1Department of Respiratory Medicine, Nil Ratan Sircar Medical College and Hospital, Rabindra Pally, 1st Lane, Nimta Kolkata, West Bengal, India. drssupriyo@yahoo.co.in
Abstract:
Sarcoidosis is a multi-system disorder characterized by non-caseating granulomas. Depressed cellular immunity predisposes patients to infections with certain intracellular organisms, mostly fungi, Mycobacterium tuberculosis, and Nocardia species. Isolated liver tuberculosis is a rare condition, and atypical clinical presentation challenges the clinical acumen of the treating physician. Liver sarcoidosis is usually unsuspected and confused with primary or metastatic liver carcinoma. We describe a case of isolated tuberculous liver abscess without pulmonary spread in a patient with asymptomatic stage I sarcoidosis.
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